| Date of birth: | Aug 30, 1958 |
| Registered felon date: | Oct 27, 2012 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-003373 |
| Booking date: | Feb 17, 2015 |
| Release date: | Feb 18, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 562.12 LIQUOR-SELL-ILLEGAL SALE OF BEVERAGES |
| Charge on arrest docket: | SELL ALCOHOLIC BEV W/O LICENSE |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | IS3K247081 |
| Bond exp: | SBN#IS3K-247081 FOR $250.00 |
| Bond amount: | $250 |